手术室潜在的护理安全隐患与管理对策分析

目的分析手术室护理工作潜在的安全隐患,并提出可行的管理对策。方法随机选取我院2011年5月至2012年5月期间60例手术患者为对照组,分析手术室护理安全隐患,并积极改进管理方式,另选我院2012年6月至2013年6月60例手术患者为观察组,给予针对性护理管理,对比两组护理结果。结果手术室护理安全隐患主要是标本丢失、体腔遗留纱布、切口感染、电刀灼伤、神经及关节损伤、跌撞受伤等。实施针对性护理管理后,观察组未见上述护理安全事故,事故发生率明显低于对照组(P<0.05)。观察组手术室护理服务满意度为100.0%,明显高于对照组(P<0.05)。结论手术室医护人员应在充分认识护理安全隐患及常见护理事故的基础上,针对性开展系统的护理工作。

Analysis of Potential Nursing Security Hazards in Operating Rooms and Relative Management Strategies

Objective To analyze nursing potential security hazards in operating rooms and propose viable management strategies.Methods 60 patients in our hospital from May 2011 to May 2012（a control group） were selected to analyze the nursing security hazards.And the management was actively improved. Another 60 patients from June 2012 to June 2013（an observation group） were given targeted nursing management. The primary outcome was the comparison of the nursing efficacy between these two groups. Results The main nursing security hazards included specimens missing, gauze left in body cavities, infection of incisional wounds, electrosurgical burns, nerve and joint damage, stumble injuries, etc. After the implementation of targeted nursing management, no accidents metioned above occurred in the observation group. The accident rate was significantly lower（P 0.05）. 100% of the observation group were satisfied with the operating room nursing service, significantly higher than the control group（P 0.05）. Conclusions Operating room staffs should correspondingly implement systematic nursing care on the basis of their fully understanding of the security hazards and common nursing accidents.